Billing & RCM Frequently Asked Questions

Everything you need to know about Ellora's billing and revenue cycle management services

Starting at 3.5% of Collections

General Questions

Revenue Cycle Management (RCM) refers to the full process of managing insurance claims and payments—from eligibility verification and authorization to claim submission, denial management, payment posting, and reporting.

At Ellora, RCM means we manage your revenue from start to finish—not just claim submission.

Ellora Billing is built specifically for:

  • Solo therapists
  • Group practices
  • Behavioral health clinics
  • Enterprise and MSO-level organizations

We specialize exclusively in mental and behavioral health billing.

Yes.

We focus on behavioral health and therapy practices. Mental health billing has unique requirements—authorizations, modifiers, documentation alignment, telehealth nuances—that general medical billing companies often overlook.

Specialization improves results.

Pricing & Fees

Our pricing starts at: 3.5% of collections

You only pay when you collect revenue.

There are no inflated percentage tiers or hidden processing fees.

Setup requirements vary based on practice size and complexity. During your billing consultation, we will provide full transparency regarding onboarding expectations.

We do not believe in surprise charges.

No.

Our focus is on collections, not just submissions. We actively manage denials and appeals as part of our RCM service.

Claims & Payments

Our processes are designed to achieve approximately: 99% claim payments when documentation and eligibility are properly aligned.

We emphasize clean claim submission and proactive denial management.

Typical turnaround times:

  • Medicare / Medicaid: ~14 days
  • Commercial insurance: ~30 days

Actual timelines depend on payer responsiveness, but we actively track and follow up on claims to avoid unnecessary delays.

Yes.

Denial management is a core part of our service. We:

  • Track payer patterns
  • Correct coding issues
  • Submit appeals
  • Monitor aging reports
  • Reduce recurring denial causes

We do not simply submit claims and wait.

Service & Support

Yes.

You will have a dedicated human account manager—not just a ticketing system.

You can speak directly with someone who understands your practice.

We provide transparent reporting and revenue visibility. Reporting cadence depends on your practice needs, but you will always know:

  • Claims submitted
  • Claims pending
  • Denials
  • Collections
  • Revenue trends

You should never feel in the dark about your revenue.

We prioritize proactive communication. You are not routed through endless automated systems.

Billing is too important to feel impersonal.

Compliance & Documentation

In mental health, documentation and billing are directly connected.

Misalignment between:

  • Progress notes
  • Treatment plans
  • Medical necessity
  • CPT codes

can lead to denials.

Because Ellora understands clinical documentation deeply, we help reduce billing issues caused by documentation gaps.

Yes.

We operate with HIPAA-aligned workflows and prioritize data security and confidentiality.

Operational Questions

Yes.

Eligibility and benefits verification are part of our RCM workflow to reduce claim rejections and unexpected client billing issues.

Yes.

Authorization tracking and management are included when required by payers.

Yes, if needed.

We can support client-facing billing workflows depending on your practice structure.

Yes. We work with all EHRs.

During onboarding, we evaluate integration requirements and workflow alignment and best ways to connect to your EHRs with our platform.

Growth & Scaling

Yes.

Ellora Billing is structured to scale with:

  • More providers
  • Increased claim volume
  • Multiple payers
  • Enterprise oversight requirements

We support structured workflows for group and MSO environments.

Common reasons include:

  • Too many denials
  • Slow reimbursements
  • Unresponsive billing vendors
  • Lack of transparency
  • High billing percentages
  • Administrative burnout
  • In-house billing turnover

Practices come to us for stability, clarity, and results.

Getting Started

Our onboarding process includes:

  • Practice review
  • Payer alignment
  • Workflow setup
  • Access configuration
  • Reporting setup

We ensure a smooth transition without revenue disruption.

You can:

  • Schedule a Billing Strategy Call
  • Request a Revenue Review
  • Contact our Billing Team

We'll evaluate your current billing performance and discuss how Ellora can improve it.

Ready to Improve Your Revenue Cycle?

Mental health specialists

Starting at 3.5%
of collections

Dedicated account manager

99%
claim payment rate

Transparent reporting

Fast reimbursements